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To begin therapy, please call Dr. Rose to schedule an appointment. After the appointment is set, please complete the forms below prior to your first appointment and bring them with you to the session.
If you are seeking couples therapy, you are both requested to attend the first session.
Starting Therapy
Forms for Download
New clients, please download, print and fill out these forms and bring them to your first session. We can then discuss any questions you may have regarding their content.
Included in the PDF are 4 forms, please fill each one out completely.
- Consent for Treatment
- Confidential Client information
- HIPAA Agreement
- Credit Card Authorization form
New Client Forms
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